Functional Evaluation Following Operative Management Of Extra Articular Distal Tibia Fractures With Precontoured Medial Distal Tibial Locking Compression Plate By MIPPO Technique.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 4
Abstract
Extraarticular distal tibial fractures are among the most challenging fractures encountered by an orthopedician for treatment.The surgical treatment of fractures according to AO principles has seen a change in the past decade, from anatomical reduction and rigid fixation to the current concept of biological fixation. The LCP is a screw plate system that offers the possibility of inserting conventional and locking head screws into the specially designed combination holes. We aimed to study the nature of fracture union and the functional outcome of distal tibial fractures treated with LCP by MIPPO technique, and to analyse any complications arising out of this technique This is a prospective study of 23 cases of closed distal tibia fracture (19 patients had associated with fibula fracture) admitted jiangpin hospital, Zhenjiang, between November 2015 and November 2017. Cases were taken according to the inclusion and exclusion criteria. We treated all patients with medial distal tibial LCP by MIPPO technique. We followed up all the patients for 6 months or till fracture union whichever is later. All fractures eventually united including 2 which had delayed union. We had totally 6 complications which included superficial infection (2), deep infection (1), complex regional pain syndrome (1), delayed union 2). The patient sample approximately reflected the regular trauma patients encountered at our set up. Fractures treated with MIPPO, healed rapidly by secondary healing, hence achieving strong bony union across the fracture site. With the LCP system the biological fixation of the fractures was easier than the conventional plates. The anchorage of the locking head screws even in the osteoporotic bone was excellent. We also confirmed its proven efficacy in the treatment of difficult fracture situations; where in other implants have limited application.
Authors and Affiliations
Naresh Kumar Pasupuleti, Xuxiao Feng (Supervisor)
Keywords
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- EP ID EP373391
- DOI 10.9790/0853-1704136888.
- Views 155
- Downloads 0
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